There isn't a single "best" age for leg lengthening surgery, as it depends on individual factors, but generally, the ideal age range is between 14 and 30 years old.
Here's a more detailed breakdown:
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Adolescence (14-18 years): This is often a good time because the growth plates may still have some activity. However, it's crucial to ensure that the adolescent has reached near skeletal maturity. Psychological maturity is also vital for understanding the commitment and challenges of the procedure.
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Young Adulthood (18-30 years): Bones are still relatively flexible and heal well during this period. This age range offers a balance between bone plasticity and reduced risk of growth plate complications. This is often the most common age range for elective height lengthening.
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Adulthood (30+ years): Leg lengthening surgery can still be performed in older adults. However, bone healing might be slower, and the risk of complications may be slightly higher. Bone density is a crucial consideration. The success of the procedure relies heavily on a patient's commitment to physical therapy and a healthy lifestyle.
Factors to Consider When Determining the Best Age:
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Bone Maturity: The stage of bone development plays a critical role. Surgeons typically want to ensure that growth plates are either closed or have minimal activity.
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Overall Health: A patient's general health and any pre-existing medical conditions are important. Conditions like diabetes or osteoporosis can affect healing and increase the risk of complications.
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Psychological Readiness: The procedure is a significant commitment, requiring patience, dedication to physical therapy, and the ability to cope with potential discomfort and challenges.
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Reason for Surgery: The underlying reason for considering leg lengthening affects the "best" age. For example, correcting a significant leg length discrepancy due to a congenital condition or injury might warrant consideration at a younger age. Elective height lengthening is more commonly pursued during young adulthood.
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Bone Density: Healthy bones are essential for successful lengthening. Low bone density increases the risk of complications.
While the 14-30 age range is generally considered ideal, individuals outside this range can still be candidates, provided they meet the necessary medical and psychological criteria. It's crucial to consult with an experienced orthopedic surgeon specializing in limb lengthening to determine the best course of action based on individual circumstances.